CPT^® 46945, Under Excision Procedures on the Anus

The Current Procedural Terminology (CPT^®) code 46945 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Anus.

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Summary

In this procedure, the provider performs one of many techniques other than a rubber band technique to remove a single hemorrhoid or group. A hemorrhoid is a small swollen vessel in the rectum or anus. Report this code when hemorrhoidectomy is performed without imaging guidance.

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Cpt code for external thrombosed hemorrhoid

Hello, Once the provider stated " I did advance the Hill-Ferguson retractor in paying attention to this left posterior position." he is internal. He did also take a biopsy of the rectal wall mucosa,... [ Read More ]

Cpt code for external thrombosed hemorrhoid

Hi , Surgeon coded 46945-Hemorrhoidectomy, internal, by ligation. But I think he ligated an external thrombosed hemorrhoid with sutures. I think typically an external hemorrhoid is incised . I am th... [ Read More ]

THD coding

We are having issues with our coding company in regards to THD hemorrhoidectomy and hemorrhoidopexy with ultrasound guidance coding. Per our coders the correct CPT should be “0490T”, but all of ou... [ Read More ]

0249T - Unlisted Codes

[b]46945 with 45505[/b] Hemorrhoidectomy 46945 - is a surgery to remove hemorrhoids - enlarged veins that is found in and around the rectum and anus; Proctoplasty 45505 - is the plastic surgery of ... [ Read More ]

0249T - Unlisted Codes hemorrhoid unlisted codes

0249T Ligation, hemorrhoidal vascular bundle(s), including ultrasound guidance. I have some carriers who even after appealing consider this service as experimental/investigational. Can anyone provide... [ Read More ]

45171, 46255 and 46945?

How would you code this? "...found that there was a rectal polyp, large polyp-like with long stalk, 3cm proximal to the dentate line. I used Harmonic scalpel and excised this polyp and sent it for p... [ Read More ]

Hemorrhoids Need Help Coding

According to CCI 46930 is bundled into 46945 and cannot be unbundled. I would use the 46945 for 1 column and 46946 for 2 or more columns.... [ Read More ]

Hemorrhoids Need Help Coding hemorrhoids

I need help coding for hemorrhoids. Doctor Ligated and cauterized 2 larger hemorrhoids above the dentate line, then cauterized 2 other smaller internal hemorrhoids. Do I code I code the Ligation as ... [ Read More ]

NON-thermal destruction of hemorrhoids 46999/46930/46945/46946 (?) 46999 code destruction hemorrhoids non thermal energy

Hi! I need some assistance. I have a physician billing CPT code 46999 (unlisted anus procedure) for non-thermal destruction of hemorrhoids. He is using "direct current" as the source, but telling me ... [ Read More ]

Ligasure Hemorrhoidectomy

It depends..does the dr mention rubber band? Otherwise, we would normally use 46945 for ligation.... [ Read More ]

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